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Questions and Answers
What is a characteristic symptom of irreversible pulpitis?
What is a characteristic symptom of irreversible pulpitis?
Which factor worsens the condition of the pulp in irreversible pulpitis?
Which factor worsens the condition of the pulp in irreversible pulpitis?
What is a common treatment needed for a tooth with irreversible pulpitis?
What is a common treatment needed for a tooth with irreversible pulpitis?
Which of the following can occur as a consequence of irreversibly damaged pulp?
Which of the following can occur as a consequence of irreversibly damaged pulp?
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What is a direct consequence of apical periodontitis resulting from pulp damage?
What is a direct consequence of apical periodontitis resulting from pulp damage?
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What is a consequence of allowing dental caries to progress?
What is a consequence of allowing dental caries to progress?
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What symptom is likely associated with reversible pulpitis?
What symptom is likely associated with reversible pulpitis?
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How is pulp swelling affected by cold temperatures?
How is pulp swelling affected by cold temperatures?
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Which of the following is a treatment option for progressive dental caries?
Which of the following is a treatment option for progressive dental caries?
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Which condition can be a result of untreated necrotic pulp?
Which condition can be a result of untreated necrotic pulp?
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What is a potential risk associated with Ludwig's angina?
What is a potential risk associated with Ludwig's angina?
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What might occur due to exposure of dental tubules in advanced caries?
What might occur due to exposure of dental tubules in advanced caries?
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What is the most common outcome if dental caries is left untreated?
What is the most common outcome if dental caries is left untreated?
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Which of the following symptoms does NOT typically occur with irreversible pulpitis?
Which of the following symptoms does NOT typically occur with irreversible pulpitis?
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In what circumstance may dental sensitivity not be an issue despite the presence of caries?
In what circumstance may dental sensitivity not be an issue despite the presence of caries?
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What is the nature of pain experienced by a patient with irreversible pulpitis?
What is the nature of pain experienced by a patient with irreversible pulpitis?
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What results from irreversible pulpitis?
What results from irreversible pulpitis?
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Which complication is associated with advanced dental caries related to infections?
Which complication is associated with advanced dental caries related to infections?
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Sensitivity associated with caries is primarily due to which of the following?
Sensitivity associated with caries is primarily due to which of the following?
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What effect can advanced dental caries have on a patient's quality of life?
What effect can advanced dental caries have on a patient's quality of life?
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What is a key reason for proactively treating deciduous caries?
What is a key reason for proactively treating deciduous caries?
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What can occur if a primary tooth develops deep caries and infection?
What can occur if a primary tooth develops deep caries and infection?
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What does the term 'sequelae' refer to?
What does the term 'sequelae' refer to?
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What is the outcome of extracting a primary tooth with caries after 12 months?
What is the outcome of extracting a primary tooth with caries after 12 months?
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Which of the following is a potential sequela of untreated dental caries?
Which of the following is a potential sequela of untreated dental caries?
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What is a consequence of premature loss of primary teeth?
What is a consequence of premature loss of primary teeth?
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Which type of restorative treatment does NOT last indefinitely?
Which type of restorative treatment does NOT last indefinitely?
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What happens as dental caries progresses through various stages?
What happens as dental caries progresses through various stages?
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What is the typical first visible sign of dental caries on the tooth surface?
What is the typical first visible sign of dental caries on the tooth surface?
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What is the restorative spiral related to?
What is the restorative spiral related to?
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What defines Turner's Tooth?
What defines Turner's Tooth?
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Which stage denotes the early loss of enamel due to caries?
Which stage denotes the early loss of enamel due to caries?
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What is the consequence of allowing dental caries to progress unaddressed?
What is the consequence of allowing dental caries to progress unaddressed?
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What is the primary goal of dental education and prevention strategies?
What is the primary goal of dental education and prevention strategies?
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In the context of dental caries, what is meant by the term 'restorative spiral'?
In the context of dental caries, what is meant by the term 'restorative spiral'?
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Which primary teeth spaces close the fastest after extraction?
Which primary teeth spaces close the fastest after extraction?
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Why is it important to limit extraction of primary teeth?
Why is it important to limit extraction of primary teeth?
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Which psychological factor is associated with poor oral health outcomes?
Which psychological factor is associated with poor oral health outcomes?
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What is a crucial component in the patient assessment process for managing dental health?
What is a crucial component in the patient assessment process for managing dental health?
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What role does a dental therapist play in restoring teeth affected by caries?
What role does a dental therapist play in restoring teeth affected by caries?
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Study Notes
Sequelae of Dental Caries
- Sequelae are conditions resulting from a prior disease or injury.
- Dental caries, if left untreated, will progress through stages.
- Early stages include white spots and early enamel loss.
- Later stages involve cavitation and gross decay of the tooth surface.
- Severe decay can lead to total tooth crown destruction.
Learning Outcomes
- Explain aetiology and pathogenesis of oral disease.
- Recognize psychological and sociological factors contributing to poor oral health.
- Discuss the importance of each component of the patient assessment process.
- Explain the role of dental therapists in tooth restoration.
- Define sequelae.
- List the consequences of dental caries.
- Understand the restorative spiral.
- Recognize caries progression.
- Understand varying pulp health stages during caries progression.
What does Sequelae mean?
- A condition resulting from a prior disease or injury.
Caries Progression
- Caries progresses from intact healthy enamel to white spot lesions to early loss of enamel to cavitation and staining to gross carious lesions.
Sequelae of Dental Caries
- Aesthetic concerns (worsening appearance)
- Sensitivity (due to enamel loss and exposed dentin)
- Reversible pulpitis (short, sharp pain, resolves quickly)
- Irreversible pulpitis (prolonged, throbbing, aching pain, doesn't resolve)
- Apical periodontitis (infection at the root tips of the tooth)
- Acute dental abscess (pus pocket at the root apices)
- Cellulitis (inflammation of surrounding tissues)
- Root canal treatment/extraction
Aesthetic Concerns
- Reduced self-esteem
- Barriers to employment
- Negative impact on quality of life
Sensitivity
- Due to the loss of surface enamel and exposure of dentinal tubules.
- Tubules may occlude if the process of decay is slow.
Reversible Pulpitis
- Pulpal symptoms that resolve in a few seconds.
- Short, sharp pain, doesn't keep the patient awake.
- Due to inflammation of the superficial pulp.
- Pain comes and goes in relation to cold, hot, and sweet stimuli.
Irreversible Pulpitis
- Pulpal symptoms that don't resolve within a few seconds.
- Prolonged throbbing or aching pain, keeps patient awake.
- Constant pain, worsens with heat, improves with cold.
- Indicates inflammation or necrosis of the pulp
Further Consequences of Pulpal Damage
- Apical periodontitis: Infection around the roots.
- Acute apical abscess: Pus collection around the roots.
- Cellulitis: Infection and inflammation of surrounding tissues.
- Ludwig's angina: Swelling under the tongue, restricting airway.
Restorative Spiral
- Restoration does not last forever.
- Need to do everything possible to prevent restorative treatment.
Primary Dentition Caries
- Deep caries can affect the permanent teeth.
- Turner's Tooth: Hypoplastic appearance due to infection during development.
- Space closure impacts orthodontic treatment.
Space Closure
- 96% of cases exhibit space closure within 12 months following primary tooth extraction.
- Upper second deciduous molars close fastest.
- Increased chance of needing orthodontic treatment due to lack of space for permanent teeth.
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Description
This quiz explores the sequelae of dental caries, detailing the progression of the disease and its consequences on oral health. It will cover the aetiology, pathogenesis, and factors contributing to poor oral health, as well as the role of dental therapists in addressing these issues. Test your understanding of caries progression and its implications on tooth health!
